"*" indicates required fields MAIN CONTACT Who is filling out this form? You will be our main contact.Your Name* First Last Your Email* Your Phone*BUSINESS DETAILSFull Legal Business Name* Public Facing Business Name (DBA, Business Nickname, if any) Main Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is your Google Business Profile up to date? (i.e., Hours, Description, etc.)* Yes No I don't have one / haven't claimed it I don't know Other Company Marketing Email Address (to receive New Review alerts)* Company Logos and/or Images (for Branding, Sign-In Forms, etc.) Drop files here or Select files Max. file size: 100 MB. If you don't provide these, we'll get them from your online properties.MAIN BUSINESS DECISION MAKERIs Decision Maker same as Main Contact?* Yes No Decision Maker's Name* First Last Decision Maker's Email* Decision Maker's Phone*LOCATION MANAGERIs Location Manager (for this location) same as Decision Maker?* Yes No Location Manager's Name* First Last Location Manager's Email* Location Manager's Phone*PROJECT MANAGER FOR REPUTATION MARKETINGIs Project Manager same as Decision Maker?* Yes No Make Drew Doggett & Team the Reputation Marketing Project Manager Project Manager's Name* First Last Project Manager's Email* Project Manager's Phone*"FACE" OF THE COMPANYWhen our system sends Feedback Request emails to your customers, whom do you want company emails to be "signed by"?* Decision Maker Project Manager Location Manager Other / Custom Please specify ...write the email signature as you would like it displayed*What is the Company Email Address you would like your customers to see as the "From" address? (Should NOT be a free email provider such as Gmail, Yahoo, Hotmail, etc.)* Same as Decision Maker Same as Location Manager Same as Project Manager Other / Custom (If you do not have a Company Email, don't worry. Please complete this entire form and we will contact you with a custom solution.)Company Email Address to send from* EMAIL ALERT NOTIFICATIONSWho will receive email alerts? (Check all that apply)* Decision Maker from above Project Manager from above Location Manager from above Additional Email(s) List additional Notification Email(s) separated by commas* How often would you like to receive your Reputation Reports?* Weekly Bi-weekly Monthly Quarterly Other MARKET / INDUSTRY INFORMATIONWhat is your primary industry / niche?* What is your secondary industry / niche? In order of importance, what are the top 1-3 (or more) products or services you are focused on selling?*Product / Service 1Product / Service 2Product / Service 3 Add RemoveDescribe the customers you sell to or would like to sell to: (age, sex, income, likes, dislikes, frustrations, etc.)*Name 3-5 things (sky's the limit) about you / your company that make you unique in the marketplace / better than your competition:*List any Keywords / Search Terms that you would like your company to show up for on Google ...doesn't matter how many, just list the ones you would like or that you know your customers search for.*COMPANY ONLINE INFORMATIONDo You Have A Company Website?* Yes No Company Website URL* Do You Have A Company Blog?* Yes, it is separate from my website Yes, it is part of my main website No Company Blog URL* Additional Website / Blog URLs (for multiple locations, one per line)Social Media Monitoring Provide links for all of your company's social media properties, if you have them:Company Facebook Page URL Company Google Business Profile (or Google Maps) URL Company Yelp URL Company Instagram URL Company Twitter URL Company YouTube Channel URL Company LinkedIn Page URL Additional Social Media URLs (for multiple locations, etc., one per line)Social Media Reputation Marketing You will receive an email from us to connect your social media accounts from your computer / phone.How often would you like us to post your Reviews (Social Proof Pix) to your social media accounts? (Facebook, Twitter, Instagram, etc.)* Daily 2x / week 3x / week Weekly Bi-weekly Other Public Directory ListingsAre there any known online directories that your business is already listed in that you have the links to? (i.e., Home Advisor, Avvo, ZocDoc, Trip Advisor, etc.)* Yes No Not sure Provide your company's directory URL for each online directories that your business is listed in, each one on a new line (Ex.: your business' link / profile on Home Advisor, Avvo, ZocDoc, Trip Advisor, etc.)Are there any industry-specific directories you want to get new reviews on? (separate by comma) DISPLAYING REVIEWS ON YOUR WEBSITEWhere on the company website would you like us to stream your reviews?* Bottom Left of Homepage (Recommended) Bottom Right of Homepage (Recommended) Sidebar Footer On a new Reviews Page On an existing Reviews Page All of the above Other (indicate below) Other page WEBSITE ACCESS FOR: 1) ADA Compliance, 2) SEO Optimization, 3) Streaming ReviewsYour website login URL* Your website login Username* Your website login Password* Provide additional website login URL, Username & Password, if applicable (each on a new line)MISC.In order for our system to send emails to your customers from your chosen email address, we need to copy/paste a "record" (line of text) into your domain's DNS. If you do this, we will send you the record. If you want us to do this for you, we need the login credentials for your website and/or hosting provider. Which would you prefer?* I'll do it (or my webmaster) You do it (Maximize Method support) Provide the login details to your DNS provider (usually where you purchased your domain name, but it could also be your hosting provider or Cloudflare)*Do you have a specific Terms of Service and/or Privacy Policy that you would like to use? (We provide them, if not.)* Yes No Provide the link(s) to your TOS and/or Privacy Policy*Email marketing consent* I have permission to send marketing content to these contacts and confirm that these contacts are customers of my Company Once your system is set up, we (or you) will import your contacts into your Rep Launch CRM. Please check the box to agree to the above statements.SMS marketing consent* I am importing a list of contacts that have opted in to recieve SMS Text Messages. I understand that I can be fined up to $1500 per message if a contact has not opted in Once your system is set up, we (or you) will import your contacts into your Rep Launch CRM. Please check the box to agree to the above statements.Please provide any other names, contact information, or additional information you think may be helpful, including info for multiple locations not covered above:
